Anchouche Sonia, Chang Kenneth, Yao Christopher Mkl, Hojilla Carlo, Nijhawan Navdeep, Nassrallah Georges
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Am J Ophthalmol Case Rep. 2025 May 9;39:102352. doi: 10.1016/j.ajoc.2025.102352. eCollection 2025 Sep.
Herein, we present a case of new-onset medial ectropion of the lower eyelids and persistent painless cervical lymphadenopathy in an 85-year-old man highlighting a unique presentation of small lymphocytic lymphoma (SLL).
Physical examination revealed bilateral medial ectropion with associated follicular changes to the palpebral conjunctiva and extensive cervical lymphadenopathy. Conjunctival biopsies were taken during ectropion repair in addition to fine needle biopsy of the cervical lymphadenopathy which both independently confirmed a diagnosis of SLL. Surgical intervention, including bilateral lateral tarsal strip and medial spindle procedures, yielded excellent postoperative outcomes. Given the patient's staging, he remained under observation until treatment was warranted to address progressive lymphadenopathy.
This report contributes valuable new insight into the ocular manifestations of lymphoproliferative disease.
在此，我们报告一例85岁男性新发下睑内侧外翻和持续性无痛性颈部淋巴结病的病例，突出了小淋巴细胞淋巴瘤（SLL）的一种独特表现。
体格检查发现双侧内侧外翻，睑结膜伴有滤泡样改变，以及广泛的颈部淋巴结病。除了对颈部淋巴结病进行细针穿刺活检外，还在睑外翻修复过程中进行了结膜活检，两者均独立确诊为SLL。手术干预，包括双侧外侧睑板条和内侧纺锤形手术，术后效果极佳。鉴于患者的分期，在有必要治疗进行性淋巴结病之前，他一直处于观察状态。
本报告为淋巴增殖性疾病的眼部表现提供了有价值的新见解。
